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[体温与发热——体温调节、退热治疗的指征与可能性。II. 降温措施及退热药物治疗的指征与效果]

[Body temperature and fever--body temperature regulation, indications and possibilities of fever reducing therapy. II. Indications and effects of fever-lowering procedures and fever-reducing drug therapy].

作者信息

Dittmer A

出版信息

Kinderarztl Prax. 1981 Mar;49(3):113-21.

PMID:7014989
Abstract

Fever should be treated according to the individual situation. Securing a sufficient fluid intake is the most important primary measure. The decrease of body temperature by physical means is efficient only in combination with drug therapy and presumes the control of blood circulation. Aminophenazon is the most efficient drug to lower fever. Metamizol should be prefered in children at risk for convulsive disorders. The combination of aminophenazon with phenothiazines can be recommended , prothazine is the drug of first choice in suitable cases a caudal treatment of fever with antiphlogistic drugs as diclophenacsodium (Voltaren) is indicated.

摘要

发热应根据个体情况进行治疗。确保充足的液体摄入是最重要的首要措施。通过物理方法降低体温仅在与药物治疗联合使用时有效,且需要控制血液循环。安乃近是最有效的退热药物。对于有惊厥障碍风险的儿童,应优先使用安痛定。可推荐将安乃近与吩噻嗪类药物联合使用,在合适的情况下,异丙嗪是首选药物,对于发热,可用双氯芬酸钠(扶他林)等抗炎药物进行尾骶部治疗。

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